Table 4. Baseline Characteristics According to VSR.
| VSR |
P | ||
|---|---|---|---|
| High | Low | ||
| N | 20 | 54 | |
| Backgrounds | |||
| Sex (N) | |||
| Male/female | 15/5 | 33/21 | 0.41a |
| Age (years) | |||
| Median (IQR) | 74 (69.8 - 77.0) | 68 (61.3 - 71.8) | < 0.01b |
| < 70/≥ 70 years (N) | 5/15 | 32/22 | 0.02a |
| Smoking status | |||
| NS/Ex, CS | 3/17 | 12/42 | 0.75a |
| Histology | |||
| Non-SQ/SQ | 12/8 | 43/11 | 0.13a |
| EGFR mutation | |||
| (+)/(-) or NA | 3/17 | 8/46 | 1.00a |
| PD-L1 status | |||
| ≥ 50%/1-49%/< 1%/NA | 1/5/2/12 | 12/10/6/26 | 0.38a |
| ECOG-PS | |||
| 0 - 1/2/3 | 11/6/3 | 42/10/2 | 0.08a |
| Metastatic sites | |||
| < 3/≥ 3 | 11/9 | 24/30 | 0.45a |
| BMI | |||
| Median (IQR) | 22.5 (20.4 - 24.0) | 22.6 (20.1 - 25.2) | 0.84a |
| VSR | |||
| Median (IQR) | |||
| Male | 1.87 (1.48 - 3.00) | 0.80 (0.52 - 1.07) | < 0.01b |
| Female | 1.07 (1.01 - 1.15) | 0.35 (0.19 - 0.56) | < 0.01b |
| Treatment | |||
| ICI regimen (N) | |||
| Nivo/Pem/Atezo | 17/1/2 | 40/11/3 | 0.20a |
| Previous treatment (N) | |||
| Anti-angiogenic drug | 9 | 25 | 1.00a |
| Radiotherapy | 7 | 12 | 0.37a |
| Further line treatment (N) | 9 | 28 | 0.79a |
| ICI efficacy | |||
| CR/PR/SD/PD/NE | 0/1/3/13/3 | 3/7/12/30/2 | |
| ORR (%) (95% CI) | 5.0 (0.1 - 24.9) | 18.5 (9.3 - 31.4) | 0.27a |
| DCR (%) (95% CI) | 20.0 (5.7 - 43.7) | 40.7 (27.6 - 55.0) | 0.11a |
| Laboratory data | |||
| NLR | |||
| Median (IQR) | 4.37 (2.39 - 5.93) | 3.00 (2.01 - 3.97) | 0.13b |
| ≤ 5/> 5 (N) | 12/8 | 45/9 | 0.06a |
| Albumin (g/dL) | |||
| Median (IQR) | 3.5 (3.2 - 3.8) | 3.6 (3.2 - 4.0) | 0.25b |
| ≥ 3.5/< 3.5 g/dL (N) | 11/9 | 34/20 | 0.60a |
aFisher’s exact test. bMann-Whitney U test. Atezo: atezolizumab; BMI: body mass index; CI: confidence interval; CR: complete response; CS: current smoker; DCR: disease control rate; ECOG-PS: Eastern Cooperative Oncology Group performance status; EGFR: epidermal growth factor receptor; Ex: ex-smoker; ICI: immune-checkpoint inhibitors; IQR: interquartile range; NE: not evaluated; Nivo: nivolumab; NLR: neutrophil-to-lymphocyte ratio; NS: non-smoker; ORR: overall response rate; PD: progressive disease; PD-L1: programmed cell death ligand 1; Pem: pembrolizumab; PR: partial response; SD: stable disease; SQ: squamous cell carcinoma; TPS: tumor proportion score; VSR: visceral to subcutaneous adipose tissue area ratio.